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Interpretation of CT reports for a tissue mass at the base of the tongue - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: X-ray, Lab tests and Scans
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
User :   i had a ct scan a while ago got the results yesterdayi have a 3.2 x1.3 cm soft tissue mass at the base of tongue extending into hypopharynx and vallecula also there is a 9mm partially calcified nodule of left throid lobe.... level III lymph nodes are noted measuring up to 12 mm in short axis..suspicious for neoplasm. also prominent bilateral leve II lymph nodes..please let me under stand this in our language ..I am 51 yrs old history of cancer and sarcodosis
Doctor :   hi
Doctor :   Dr.XXX here
Doctor :   let me read what you have typed.
Doctor :   what was the cancer diagnosed for you?
User :   cervical cancer when i was 15 y old
Doctor :   ok. please provide your height, weight, details of past medical history and treatment.
User :   5"3 139 weight surgery to pacreatic sarcodosis complete hyterectomy high blood pressure high cholesterial depression
Doctor :   I will explain the CT report: User :   thank you
Doctor :   the CT suggests possible cancerous mass noted at base of tongue (below your tongue) that is extending downwards towards the hypopharynx and vallecula (meaning to say towards the voice box) .
User :   what do i do???
Doctor :   the thyroid gland is detected to have a partially calcified nodule 9mm (this could signify either presence of overactive nodule or bleeding in past or a neoplasm )
Doctor :   the lymph nodes that are detected could be either due to inflammation or spread of cancer (if cancer is present)
Doctor :   your next step should be to consult with a Oropharyngeal surgeon and Oncologist
Doctor :   for examination and correlation of examination findings with the CT report
User :   could it just be sarcodosis
Doctor :   you might also need special tests like biopsy or FNAC (fine needle aspiration cytology) to see the cell type present in the ump, nodule and lymph nodes
Doctor :   it will tell you whether it is due to Sarcoidosis or something else
User :   is this a big mass i lose my voice alot
Doctor :   do you mean to say that voice is affected? what symptoms do you have at present?
User :   tired loose voice always sick like a cold
User :   does this have to be operated???????????
Doctor :   if the mass is not involving nerves and other vital structures, then getting operated along with lymph node dissection (removal) if they are found to be related would be the best
User :   can i print this page please
Doctor :   I would first recommend you to go ahead with the examination for correlating your symptoms, findings and reports
User :   if it is cancer do i loose my tongue or voice
Doctor :   and proceed with the above suggested tests to know the exact etiology
Doctor :   such that adequate and next line of treatment can be planned
Doctor :   you may get this discussion details by clicking on 'accounts and settings' and going to 'chat history'
Doctor :   you can export this to your mail ID for future reference
Doctor :   if this is cancer, then voice loss is a possibility due to close proximity to voice box
Doctor :   tongue may be affected, but extent will depend on how much of it is involved
Doctor :   hi
Doctor :   DR. XXXXXXXX here.
Doctor :   are you back?
Doctor :   please proceed with your queries
User :   why is the mass on my tongue
User :   doctor could it have gotten bigger i waited a year in a half??????
Doctor :   we cannot say for sure about growth unless the etiology is found out
User :   if it is not cancer maybe what could it be??? doctor
User :   what is etiology
Doctor :   as I said earlier, a biopsy or a FNAC will help in telling teh exact etiology
Doctor :   it can be inflammatory or cancer or sarcoidosis related issue
User :   if it is inflammatory how would that be treated????
Doctor :   it would be treated with antiinflammatories and with medications to treat infection if infection is cause for inflammation
User :   doctor does cancer give pain in the throat??? sorry i am asking i am just worried
User :   doctor i was on antiobiotics for 6 months due to a root canal went bad
User :   so if not cancer or sarcodosis just treated bt medicines
Doctor :   ok. cancer can be associated with pain and swelling since it is characterized by rapid growth of abnormal cells that can give pain due to pressure on normal structures
User :   if it is the sarcodosis does it still have to be operated
Doctor :   if the voice is affected and other functions like swallowing is affected, then the mass might need to be operated
User :   so dr when i finish I can print this page or should i do it now??????
User :   would any of this make me tired and sluggish ?????
Doctor :   when you finish this, you can you may get this discussion details by clicking on 'accounts and settings' and going to 'chat history'. you can export this to your mail ID for future reference.
Doctor :   they make get you feeling tired and fatigued
User :   what would make me feel tired and sluggish
Doctor :   the inflammation and toxins
User :   in size are the masses or nodules big or small and thank you
Doctor :   they seem to be moderate
User :   thank you
Doctor :   but exact clinical correlation is important to decide on them
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